| NPI | 1720083769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS LAFRENIERE Medical Director 860-679-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1223P0106X Dentist Oral and Maxillofacial Pathology |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RN0300X Internal Medicine Nephrology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 2086X0206X Surgery Surgical Oncology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2025-05-19 |